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Salary
$100k – $115k per year
Location
Remote (United States)
Seniority
Senior · 5+ years exp
Overview
Company
Impact
Profile match
HealthEdge builds core administrative software for health insurance payers. Its products handle claims processing, benefits configuration, care management and member engagement. Plans use the platform to replace decades-old claims systems.

Overview

This position will serve as the operational integrator of the HealthEdge Compliance and Privacy Department. This role will enable the execution of Compliance and Privacy strategy by coordinating governance, managing strategic initiatives, supporting enterprise risk management, facilitating reporting, and ensuring accountability across the department. Importantly, this role will also operate a coordinated Compliance control system through effective governance, communication, program management and operational discipline.

Job Description

Primary responsibilities will include

  • Managing governance forums, agendas, decision logs, and action tracking, in addition to corresponding governance documentation, including policies, procedures, standards, control documentation, process maps, playbooks, training materials, and reporting templates.
  • Supporting execution of strategic departmental priorities from planning through implementation
  • Monitoring cross-functional dependencies and escalation of risks to leadershipSupports the development, implementation, and ongoing management of compliance governance frameworks, routines, and operating practices.
  • Partners with business, compliance, legal, and operations teams to ensure compliance requirements are understood and embedded into business processes.
  • Coordinate departmental KPIs and executive dashboarding and monitor departmental performance against strategic objectives
  • Help support critical Compliance channels of communication including SharePoint, hotline, and multiple email channels
  • Identify opportunities to improve upon governance processes and operational efficiency
  • Support development of standardized workflows, templates, and operating procedures by broadly promoting consistency and contionuous improvement across the Compliance and Privacy organization.
  • Collaborates with stakeholders to simplify and standardize compliance processes where possible.
  • Supports change management and communication efforts related to new or changing compliance requirements.
  • Promotes a culture of accountability, transparency, risk awareness, and compliance ownership.

Skill Examples

  • Ability to interpret compliance requirements and translate them into practical business processes.
  • Ability to manage governance routines, action logs, deliverables, and stakeholder follow-up.
  • Strong written and verbal communication skills, including the ability to summarize complex information clearly.
  • Ability to build trusted relationships with business, compliance, legal, and operational stakeholders.
  • Strong organizational skills and ability to manage multiple priorities and deadlines.
  • Ability to develop clear templates, process documentation, job aids, and reporting materials.
  • Ability to influence without direct authority and drive accountability across teams.
  • Ability to maintain confidentiality and handle sensitive information appropriately.

Knowledge Examples

  • Working knowledge of regulatory and operational compliance governance, risk management, audit readiness, and internal controls.
  • Understanding of issue management, corrective action planning, remediation tracking, and root cause analysis.
  • Familiarity with compliance reporting, metrics, dashboards, and executive-level status updates.
  • Knowledge of change management and communication practices.
  • Familiarity with healthcare, claims, payer operations, HR, technology, or shared services compliance environments preferred, depending on business area.
  • Proficiency with Microsoft Office tools, including Excel, PowerPoint, Word, Teams, and SharePoint.
  • Familiarity with workflow, audit, risk, project management, or reporting tools such as Smartsheet, Jira, Power BI, or similar platforms preferred.

Qualifications

Required Qualifications

  • Bachelor’s degree in Business, Healthcare Administration, Compliance, Risk Management, Human Resources, Operations, or related field, or equivalent work experience.
  • Typically requires 5+ years of experience in compliance, governance, risk management, operations, audit, quality, project management, or a related function.
  • Experience supporting compliance governance routines, issue tracking, documentation, reporting, or audit readiness activities.
  • Strong communication, organization, stakeholder management, and follow-through skills.
  • Demonstrated ability to manage multiple priorities, track deliverables, and meet deadlines.
  • Experience working cross-functionally with business, compliance, legal, audit, risk, or operational teams.

Preferred Qualifications

  • Certification through accredited Compliance organization such as the Society for Corporate Compliance and Ethics (ie: CCEP), or the Health Care Compliance Association (ie: CHC)
  • Experience in healthcare, managed care, payer operations, shared services, HR operations, or regulated business environments.
  • Experience supporting client audits, regulatory reviews, internal audits, compliance assessments, or corrective action plans.
  • Experience developing governance materials, dashboards, executive summaries, training materials, or process documentation.
  • Knowledge of compliance frameworks, risk management practices, internal controls, and evidence management.
  • Project management, process improvement, compliance, audit, or risk-related certification preferred but not required.

Geographic Responsibility: Remote, US

Type of Employment: Full-time, permanent

FLSA Classification (USA Only): Exempt

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

#LI-Remote

**The annual US base salary range for this position is $100,000 to $115,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.

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